<div id="pad-wrapper" class="new-user">
	<div class="row-fluid header">
		<h3>预约单</h3>
	</div>
	<div class="row-fluid form-wrapper">
		<!-- left column -->
		<div class="span9 with-sidebar">
			<div class="container">
				<form class="new_user_form form-horizontal" action="/banner/save" method="post" id="dataForm" enctype="multipart/form-data">
					<input type="hidden" name="id" value="<?php echo $row['id']?>">
					<div class="field-box"></div>
					<div class="control-group form-group span8">
						<label class="control-label" for="banner_name">订单号:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo $row['order_no']?></span>
						</div>
					</div>
					<div class="control-group form-group span8">
						<label class="control-label" for="link">预约下单时间:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo date('Y-m-d H:i:s', $row['create_time'])?></span>
						</div>
					</div>
					<div class="control-group form-group span8">
						<label class="control-label" for="t_sort">受检人:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo $row['real_name']?></span>
						</div>
					</div>
					<div class="control-group form-group span8">
						<label class="control-label" for="t_sort">电话:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo $row['mobile']?></span>
						</div>
					</div>
					<div class="control-group form-group span8">
						<label class="control-label" for="t_sort">身份证号:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo $row['idcard']?></span>
						</div>
					</div>
					<div class="control-group form-group span8">
						<label class="control-label" for="t_sort">采血点:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo $row['bpoint_name']?></span>
						</div>
					</div>
					<div class="control-group form-group span8">
						<label class="control-label" for="t_sort">推荐医生:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo $row['doctor_name']?></span>
						</div>
					</div>
					<div class="control-group form-group span8">
						<label class="control-label" for="t_sort">所属推荐医院:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo $row['hospital_name']?></span>
						</div>
					</div>
					<div class="control-group form-group span8">
						<label class="control-label" for="t_sort">预约状态:</label> 
						<div class="controls col-lg-5">
						<span style="padding-top: 5px;"><?php echo $arr_status[$row['status']]?></span>
						</div>
					</div>
					<div class="span8 field-box"></div>
				</form>
			</div>
		</div>
		<!-- side right column -->
		<div class="span3 form-sidebar pull-right">
		</div>
	</div>
</div>